HomeMy WebLinkAboutHomestead_Maggard INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
tD IVREPARERtc� 'sc^ , --- - ?x ,m�g�3—r _�a �t'�F' :: : ^`75'.c=--.+�t
Tiffany Hoon Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
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Sandra K.Niehaus
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
202 S Mill St.
Address(Number and Street) Address(Number and Street)
Owensville,IN 47665
stare,and Ltrcooe
bcatc ana LIP woe
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E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Vmand plete as requireed law,and is prepared in ccordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
N✓.�1_C\ ch ( tc4)' 513/�/9
Signature of Seller Signature of Seller
Sandra K.Niehaus
Printed Name of Seller Sign Date(MM/DD/YYI'Y) Printed Name of Seller Sign Date(MM/DD/YYYY)
E-BUYERFST/GWANTEEISMAPPIIICATIaN RORIPROPERT,YFTAXIDEDUGTIONS DENTIFYaADOITEMS THAT'APPIN _'
Des e4• .-Maggard_ lb , 1, n
Buyer l Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
505 d Street PO Box 399 —
ress winnm„+cw..y Address(Number and Street)
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PAI5 ERTY. IDENTIFY ALL OF THOSE THATAPPkY\ Jul 0
8
2010
I YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary X ❑ 3.Homestead GIB N COUNTY AUDITOR CB
residence? Provide complete address of pri ary ❑ E 4 S Qy ' g/Cooling System
residence,including county:
202 S Mill Street eve vice
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Owensville,IN 47665 Gibson ❑ El y Geothermal Energy Heating/Cooling Device
Clry,State ZIP Code County ❑ 8. Is this property a residential rental property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property vi&e'maiF?-(Provide-contact information
complete address of residence being vacated, �.
6el(ovai ease see instructions for more mjo matt ion.
including county: Nara vailable in all counties.)
Address(Number and Street)
Derek J.// aggard 26-17-12-202-000 . 566-022
City,State ZIP Code County Primary prop4awner contact name E-mail
Number License/ID/Other Number